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Combined Treatment of Stage IB Carcinoma of the Cervix

From the Department of Gynecology at the Norwegian Radium Hospital, Oslo, Norway

Abstract

During the years 1960-1966, 537 patients with FIGO Stage Ib carcinoma or the cervix were treated by combined preopcrative radium and Wcrlhcim hysterectomy with Iymphadcnectomy at the Norwegian Radium Hospital. The overall five-year survival was 88.3%. There was a 2.8% incidence of significant urologic complications. The study concluded that preopcrative radium allowed for a less extensive uretcral dissection and a reduction in the size of the vaginal cuff except in those cases demonstrating residual cancer in the hysterectomy specimen. The finding of positive pelvic lymph nodes was the most significant prognostic factor. The fiveyear survival was 62.9% for those patients with node involvement as compared with 92.9% for those in whom lymphatic extension was not appreciated.